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Online Quotation/Order Form for Siesta Leisure Products Ltd.

Mattress and Pillow Protectors

1) Please provide the following contact information:

Name Title  
Organization Town/City
Work Phone
FAX
E-mail

        2) Please specify: Quotation or Order:    Quotation        Order

       3) Please select products and specify quantity of each:                                               

Select Product Qty
MATTRESS PROTECTOR (Single Bed)
MATTRESS PROTECTOR (Double Bed)
MATTRESS PROTECTOR (King Bed)
PILLOW PROTECTOR

        4) Special instructions if any: